Wisconsin
Provider Communications

Articles Category: State & Federal

Title Publication Category Date

Medical drug benefit Clinical Criteria updates - December 2019

April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

Medicaid News - April 2020

View these Medicaid notices:
- November 2019 Medical Policies and Clinical Utilization Management Guidelines update
- Personal care prior authorization
- Prior authorization requirements for A6550 and A9278
April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

Prior authorization requirements: new 2020 codes for coverage and precertification

April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

Disease Management can help you care for patients with chronic health care needs

April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

Use of Imaging Studies for Low Back Pain (LBP)

April 2020 Anthem Provider News - Wisconsin Medicaid Apr 1, 2020

HEDIS 2020 Federal Employee Program® medical record request requirements

April 2020 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Apr 1, 2020

COVID-19 information from Anthem Blue Cross and Blue Shield

April 2020 Anthem Provider News - Wisconsin Medicare Apr 1, 2020

Medicare News - April 2020

View these Medicare notices:
- Coding tip for psychological and neuropsychological testing
- Medical Policies and Clinical Utilization Management Guidelines update
- New Medicare Advantage opioid treatment Program benefit
- Prior authorization requirements: new 2020 codes for coverage and precertification
April 2020 Anthem Provider News - Wisconsin Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - November 2019

April 2020 Anthem Provider News - Wisconsin Medicare Apr 1, 2020

2020 Medicare risk adjustment provider trainings

April 2020 Anthem Provider News - Wisconsin Medicare Apr 1, 2020

Medical drug benefit Clinical Criteria updates - December 2019

April 2020 Anthem Provider News - Wisconsin Medicare Apr 1, 2020

Updated COVID-19 Medicare and Medicaid Information

For the latest COVID-19 Medicare and Medicaid information, please check Medicaid Provider News & Announcements and Important Medicare Advantage Updates .
COVID-19 Information - Wisconsin State & Federal Mar 25, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Wisconsin Medicaid Mar 1, 2020

Coding tip for psychological and neuropsychological testing

March 2020 Anthem Provider News - Wisconsin Medicaid Mar 1, 2020

Antibiotic dispensing guidelines

March 2020 Anthem Provider News - Wisconsin Medicaid Mar 1, 2020

Coding spotlight: HIV and AIDS

March 2020 Anthem Provider News - Wisconsin Medicaid Mar 1, 2020

Medicare News - March 2020

March 2020 Anthem Provider News - Wisconsin Medicare Mar 1, 2020

Outpatient Rehabilitation Program transition: new prior authorization requirements

March 2020 Anthem Provider News - Wisconsin Medicare Mar 1, 2020

Complex discharge planning

March 2020 Anthem Provider News - Wisconsin Medicare Mar 1, 2020

Personal Home Helper benefit

March 2020 Anthem Provider News - Wisconsin Medicare Mar 1, 2020

Reminder: Mid-level practitioners are required to file using their NPI

March 2020 Anthem Provider News - Wisconsin Medicare Mar 1, 2020

Non-preferred products and corresponding preferred alternatives

March 2020 Anthem Provider News - Wisconsin Medicare Mar 1, 2020

Medicaid News - February 2020

February 2020 Anthem Provider News - Wisconsin Medicaid Feb 1, 2020

Postponed - Review of professional claims with emergency room level 5 E/M codes

February 2020 Anthem Provider News - Wisconsin Medicaid Feb 1, 2020

Resources to support your diverse patient panel

February 2020 Anthem Provider News - Wisconsin Medicaid Feb 1, 2020

Medicare News - February 2020

February 2020 Anthem Provider News - Wisconsin Medicare Feb 1, 2020

New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice

February 2020 Anthem Provider News - Wisconsin Medicare Feb 1, 2020

Reimbursement Policy Update: Modifier 62: Co-Surgeons

February 2020 Anthem Provider News - Wisconsin Medicare Feb 1, 2020

Medicare News -- January 2020

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Medicaid News -- January 2020

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

August 2019 medical drug benefit clinical criteria updates

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

September 2019 medical drug benefit clinical criteria updates

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

Verifying and updating your provider information

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

Coding spotlight: provider’s guide to coding respiratory diseases

January 2020 Anthem Provider News - Wisconsin Medicaid Jan 1, 2020

2020 FEP® Benefit information available online

January 2020 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Jan 1, 2020

Medicare Advantage Group Retiree PPO plans and National Access Plus FAQ

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Introducing ConcertoHealth

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Medicare preferred continuous glucose monitors

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

August 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

September 2019 Medical drug benefit Clinical Criteria updates

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Help protect your patients by providing medical ID protection - best practices

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Reminder: Medicare claims for secondary payer must be submitted after the 30-day Medicare remittance period

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Healthcare Quality Patient Assessment Form and Patient Assessment Form

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Electric Boat offers Medicare Advantage options

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

2020 Medicare risk adjustment provider trainings

January 2020 Anthem Provider News - Wisconsin Medicare Jan 1, 2020

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Coding spotlight: provider’s guide to coding behavioral and emotional disorders

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Reimbursement Policy Update: Multiple and Bilateral Surgery, Professional and Facility Reimbursement

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates

December 2019 Anthem Provider News - Wisconsin Medicaid Dec 1, 2019

Coordination of benefits for an FEP® member

December 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Dec 1, 2019

Medicare News -- December 2019

December 2019 Anthem Provider News - Wisconsin Medicare Dec 1, 2019

Provider training series

December 2019 Anthem Provider News - Wisconsin Medicare Dec 1, 2019

Medical drug Clinical Criteria updates

December 2019 Anthem Provider News - Wisconsin Medicare Dec 1, 2019

Reminder to Medicare Advantage providers

December 2019 Anthem Provider News - Wisconsin Medicare Dec 1, 2019

Medicare News -- November 2019

November 2019 Anthem Provider News - Wisconsin Medicare Nov 1, 2019

Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

November 2019 Anthem Provider News - Wisconsin Medicare Nov 1, 2019

CMS reminder: expedited/urgent requests

November 2019 Anthem Provider News - Wisconsin Medicare Nov 1, 2019

Electronic submission is preferred method for requesting pharmacy prior authorization

November 2019 Anthem Provider News - Wisconsin Medicaid Nov 1, 2019

New Reimbursement Policy: Update Drug Screen Testing

November 2019 Anthem Provider News - Wisconsin Medicaid Nov 1, 2019

New pregnancy notification process using the Availity Portal Benefit Look-Up Tool

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

March 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

Authorization process update for identified HCBS procedure codes

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

New clinical guideline: pneumatic compression devices, effective December 1, 2019

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

Reimbursement Policy Update: Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

MCG Care Guidelines update and customizations

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Wisconsin Medicaid Oct 1, 2019

Federal Employee Program® Specialty Pharmacy Clinical Site-of-Care prior authorization review*

October 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2019

Pre-certification information for the Federal Employee Program*

October 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2019

US Antibiotic Awareness Week is November 11-18, 2019

October 2019 Anthem Provider News - Wisconsin Federal Employee Plan (FEP) Oct 1, 2019

Medicare News -- October 2019

October 2019 Anthem Provider News - Wisconsin Medicare Oct 1, 2019

Aspire Telehealth Palliative Care program

October 2019 Anthem Provider News - Wisconsin Medicare Oct 1, 2019

June 2019 Medical Policies and Clinical Utilization Management Guidelines update

October 2019 Anthem Provider News - Wisconsin Medicare Oct 1, 2019

Update: 2019 risk adjustment provider trainings

October 2019 Anthem Provider News - Wisconsin Medicare Oct 1, 2019

Medicare preferred continuous glucose monitors

October 2019 Anthem Provider News - Wisconsin Medicare Oct 1, 2019

Medical drug Clinical Criteria updates

October 2019 Anthem Provider News - Wisconsin Medicare Oct 1, 2019

Prior authorization requirements changes effective November 1, 2019

October 2019 Anthem Provider News - Wisconsin Medicare Oct 1, 2019

Medicare News -- September 2019

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Coming soon: Electronic attachments

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Clinical Criteria updates

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Changes to prior authorization (PA) requirements

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Pharmacy benefit manager change to IngenioRx

September 2019 Anthem Provider News - Wisconsin Medicare Sep 1, 2019

Coming soon: electronic attachments

September 2019 Anthem Provider News - Wisconsin Medicaid Sep 1, 2019

Prior authorization changes

September 2019 Anthem Provider News - Wisconsin Medicaid Sep 1, 2019

Update: E&M with Modifier 25 same day as procedure when a prior E&M for the same or similar service has occurred (Professional)

September 2019 Anthem Provider News - Wisconsin Medicaid Sep 1, 2019

Customizations to the 23rd edition of the MCG Care Guidelines

September 2019 Anthem Provider News - Wisconsin Medicaid Sep 1, 2019

Medical drug Clinical Criteria updates

September 2019 Anthem Provider News - Wisconsin Medicaid Sep 1, 2019

Medicaid News -- August 2019

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019

Pharmacy management information

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019

Use the Provider Maintenance Form for professional providers to update your information

August 2019 Anthem Provider News - Wisconsin Medicaid Aug 1, 2019

Medicare News -- August 2019

August 2019 Anthem Provider News - Wisconsin Medicare Aug 1, 2019

New service types added to Availity

August 2019 Anthem Provider News - Wisconsin Medicare Aug 1, 2019

New Reimbursement Policy: Drug Screen Testing

August 2019 Anthem Provider News - Wisconsin Medicare Aug 1, 2019

AIM Specialty Health programs may require documentation

August 2019 Anthem Provider News - Wisconsin Medicare Aug 1, 2019
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